Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Facility		$2,429.89	$2,429.89	$2,429.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,953.25	Professional		$2,429.89	$2,429.89	$2,953.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,475.75 / $2,475.75 / $2,475.75	Facility		$2,475.75	$2,475.75	$2,475.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,487.56 / $3,109.45	Professional		$2,429.89	$2,487.56	$3,109.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,440.69 / $4,124.78 / $4,881.39	Facility		$2,440.69	$4,124.78	$4,881.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,440.69 / $2,717.01 / $10,655.19	Professional		$2,440.69	$2,717.01	$10,655.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,138.38 / $3,115.03 / $4,067.60	Facility		$2,138.38	$3,115.03	$4,067.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,138.38 / $2,928.84 / $3,115.03	Professional		$2,138.38	$2,928.84	$3,115.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,528.26 / $2,659.13 / $2,659.13	Professional		$2,528.26	$2,659.13	$2,659.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $3,185.64	Professional		$2,429.89	$2,575.67	$3,185.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,440.69 / $2,440.69 / $2,440.69	Facility		$2,440.69	$2,440.69	$2,440.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,440.69 / $2,440.69 / $2,440.69	Professional		$2,440.69	$2,440.69	$2,440.69